Vim stimulation in Holmes' tremor secondary to subarachnoid hemorrhage

作者：Acar Goksemin^*; Acar Feridun; Bir Levent Sinan; Kizilay Zahir; Cirak Bayram

来源：Neurological Research, 2010, 32(9): 992-994.

DOI：10.1179/016164110X12714125204272

• Vim
• Deep brain stimulation
• Holmes
• Tremor

Objective and importance: Vim stimulation is effective in Parkinsonian and essential tremor. Our aim is to prove that it is also effective in other complex tremor syndromes such as Holmes' tremor.
Clinical presentation: A 31-year-old previously healthy man developed resting, action, and postural tremor in bilateral upper extremities and orolingual region, which was suggestive of Holmes' tremor, occurring 25 days after a subarachnoid hemorrhage. The initial pharmacotherapy was unsuccessful, including levodopa, bromocriptine, and levetiracetam.
Intervention: Bilateral Vim stimulation suppressed both extremity and orolingual tremors which interfered with daily living activities such as eating and swallowing.
Conclusion: Thalamic Vim stimulation seems to be a good treatment option in medically intractable complex tremor syndromes.

• 出版日期2010-11